Individual
STACEY E. PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1071 S SUN DR STE 1003, LAKE MARY, FL 32746-2573
(407) 302-2620
(407) 302-2690
Mailing address
1071 S SUN DR STE 1003, LAKE MARY, FL 32746-2573
(407) 302-2620
(407) 302-2690
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ARNP9162428
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9162428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066398-00
—
FL
Enumeration date
10/03/2005
Last updated
02/29/2024
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